Jailyn Castille
Scott
Summary
Results-oriented achiever with a proven track record of exceeding targets and driving success in fast-paced environments. Strategic thinking, combined with hands-on experience, delivers impactful solutions that enhance organizational performance. Currently pursuing certification in Human Resources and Management, driven by a passion for the field and a strong desire to contribute effectively. Exceptional skills in data entry, attention to detail, communication, multitasking, reliability, and organization support a commitment to excellence in any role undertaken.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Intake Specialist
Home Sleep Delivered
08.2024 - Current
- Processed referrals received from providers and specialists offices
- verified insurance information and completed insurance eligibility requirements
- Make outbound calls to patients for referral updates or to obtain missing insurance information
- Answer inbound calls from Providers and Patients
- Trained and supervised new intake staff to deliver high-quality client care.
- Completed intake assessment forms and filed clients' charts.
- Technical support for Sleep Study devices and app program utilized to obtain patient Sleep Study data
- Obtain co-payments/deductibles from patients
- Facilitated communication between clients and other service providers.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Enhanced office productivity by handling high volume of callers per day.
- Offered compassionate and attentive guidance to patients during crisis situations.
- Answered phone calls and provided new clients with required paperwork to initiate service.
Sales Mobility Executive
AT&T
05.2022
- uncover all customer needs by asking discovery questions, probing questions, and all other questions to best assist customers. By doing this I am able to not only resolve all customers questions and concerns and sell them products based off of their needs.. I have more talents that can benefit me in life itself and help me to succeed within other companies such as;
- Resolving all billing issues, fraud related inquires, troubleshooting, and so much more
- Communicates clearly that way it is easy for customers/clients to understand the resolution
- Can problem solve any situation
- Independent worker
- Love working with others, group projects, team builders
- Can de-escalate any situation/ dissatisfied customers by providing an expected resolution
- Punctual at all times to meet companies expectations
- Reliable- always on time
- Can handle any job duty/situation that is expected of me
- Fast paced worker
- Goes above and beyond with every task that is given to me
Customer Service Representative
United Health Care
12.2020 - 12.2021
- My job is to greet all my members and make them feel welcomed!
- An important part of my job is allowing members to vent and express their feelings towards their concerns and me empathizing with them so that they know I am actively listening.
- I reassure my members and I walk them through the steps that I am doing to resolve their concerns that way if a similar situation ever occurs, they are knowledgeably familiar with the expectations.
- I assist with helping members make payments and breaking down the payments so that they have a better understanding.
- I handle prior authorizations, appeals, expedited appeals, coverage determinations, transitional refills, administrative overrides, vacation overrides, tier exceptions, MIODS, and all other medical claims as well as pharmacy claims.
- My position also consisted of me calling doctor offices, hospitals, urgent care clinics, specialist, and pharmacies to review claims , go over billing inquiries, and ensure they have the correct information about members insurance plan, also to set up appointments on members behalf
- My number 1 priority is to make sure that I assist my members with all inquiries so that they do not have to call back regarding the same concerns.
- I always make sure to be attentive and cordial to my members, so that each time we communicate they're confident in me assisting them with their needs
- Help people who are eligible for Medicare find a Medicare plan that meets their needs and aiding them with enrollment process.
- Present, promote, and sell plans using solid arguments to existing and prospective customers
- Assisted customers with a warm and professional attitude
- Assisted customers with questions
- Handled emails, inbound calls, and outbound calls
- Kept records of customer complaints/filed grievances
- Interacted with customers through live chat
- Booked appointments with doctors, specialists, and hospitals.
- Managed customer accounts
- Wrote call center scripts
- Assisted with technical support duties/trouble shooting
- Monitored claims and physician-related services
- Handled billing issues and order inquiries
Food Preparer II/ Customer Service Representative
Sams Club
10.2019 - 10.2020
- My job was to prepare food for the day and that included;
- Making sure the food is dated correctly so that it's fresh for members to eat.
- Properly measured all ingredients to make sure the food is made correctly.
- Time management- made sure that all food that was put out to be served was disposed after set time.
- Take members orders using a cash register, and accept cash or card payments
- Make sure that the environment is well clean and sanitized by cleaning through out my whole shift.
- Inventory- counting all food, and condiments
- Customer service-ensuring all customers are well taken cared of in a timely manner and satisfied.
- Showing compassion to all members, being an active listener, and showing integrity.
- Front desk/member support- working behind a desk assisting members with getting their membership started, refunds, and returns.
- Concierge- personal shopping for the elder or disabled. This help build connections with our members, and allowed my customer service skills to get expand even more.
- Greeting customers at the main entrance door to ensure a positive environment, and making sure everyone has a membership card to shop.
- Pricing analyst- helped determine what prices to set and whether current rates need adjustment.
Customer Service Representative/Cashier
Super 1 Foods
09.2018 - 06.2019
- Provides a positive customer experience with a fair, friendly, and courteous service.
- Resolves customers concerns and questions
- Help customers locate items and provide advice or recommendations
- Learned over 300 produce codes in 30 days to successfully apply the correct fruit/vegetables codes into the register.
- Discount purchases by redeeming coupons
- Collects payments by accepting cash, cards, or checks.
- Verifies identification for legal purchases
- Maintains checkout operations by following policies and procedures
- Have basic math skills
- Stocked front end items such as tobacco, candy, gum, sodas, and newspaper.
- Maintain a clean and tidy checkout area
- Handles merchandise, returns, and exchanges.
- Bagged customers groceries to ensure safe transport
Education
High School Diploma - Nursing
Acadiana High School
Lafayette, LA05.2019
Skills
- Insurance verification
- Account updating
- Paperwork verification
- Personnel engagement
- Exceptional communicator
- Quality assurance
- Conflict resolution
Certification
- Basic Life Support (BLS) November 2021 to November 2023
- CPR Certification
Assessments
- Work motivation — Proficient June 2021
- Level of motivation and discipline applied toward work
- Full results: Proficient
- Spreadsheets with Microsoft Excel — Completed June 2021
- Knowledge of various Microsoft Excel features, functions, and formulas
- Full results: Completed
- Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
- Active listening skills
- Building customer loyalty
- Interpersonal skills
- Positive attitude
- Time management
- Organizational skills
- Critical thinking skills
- Ms excel, PowerPoint, and word
- Micro soft office skills
- Problem solving
- Fast paced worker
- Sales
Timeline
Intake Specialist
Home Sleep Delivered
08.2024 - Current
Sales Mobility Executive
AT&T
05.2022
Customer Service Representative
United Health Care
12.2020 - 12.2021
Food Preparer II/ Customer Service Representative
Sams Club
10.2019 - 10.2020
Customer Service Representative/Cashier
Super 1 Foods
09.2018 - 06.2019
High School Diploma - Nursing
Acadiana High School